Modifier 25 Decision Tree

Article Overview

This premium article is a coding reference focused on modifier 25 and how it relates to evaluation and management services performed on the same date as a procedure or other billable service. It is aimed at coders, billers, and reimbursement staff who need a high-level understanding of when the modifier is considered and what supporting documentation and context the article discusses. The page also notes related reporting considerations involving other professional service modifiers.